HomeMy WebLinkAboutX2022-1191 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit /Application
F-Comm'I r \N Residential City of Newport Beach - Building Division 2za_ ;��" °
0
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 1 G.'ow.•'
[Building [-Grading
[-Drainage rElec r-Mech [-Plum Cu vd Cetl Cu Yd Fill
Project Address (Not mailing address) r- Flood r Fire F- Liq (-, Landslide rN/A Floor Suite No
1827 Toyon Ln
F_
Description of Work
Use F— Const Type
# StoriesF # Units (if Res)F—',
gas to 15bq and firepit-electricdrainage
Valuation $ 7500
Material/Labor
New/Add SFF;
Remodel SFF— Garage/New/Add F_
OWNER'S NAME
Last meyer First andy
Owners Address
Owners E-mail Address
1827 Toyon Ln
City Newport Beach
State Ca Zip 92660 Telephone 714.339.7603
APPLICANT'S NAME
Last Ellison First Paul
Applicant's Address
Applicant's E-mail Address
24642 Via Reza
paul@dpspermits.com
City Lake Forest
State Ca Zip 92630 Telephone 949.683.9861
ARCHITECT/DESIGNER'S NAME Last FirstI Lic, No. F'
Architect/Designers Address
Architect/Designees E-mail Address
City
State �—' Zip F— Telephonel—
ENGINEER'S NAME
Last � First F Lit. No.F__
Engineers Address
Engineers E-mail Address
City
State F_ Zip [— Telephoned
CONTRACTOR'S NAME/COMPANY Alex Woodard Lit. No. 1060810 Class C27
Contractors Address
Contractor's E-mail Address
25 Blackw000d St
City MViejo
State [Ca Zip 926�Telephone 949.228.2804
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. X7p,TZ.,1Li l
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 'Z -
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
01-1111b.,0 -Z®Z l